HIPAA Web sites and Resources

• Department of Health and Human Services Administrative Simplification — All HIPAA Rules
  http://www.aspe.hhs.gov/admnsimp
  
  
• Centers for Medicare and Medicaid Services — Medicare HIPAA Activities and Summary Compliance Plan for Administrative Simplification Compliance Act
  http://www.cms.hhs.gov/hipaa/
  
  
• Wisconsin Department of Health and Family Services — Medicaid HIPAA Activities
  http://www.dhfs.state.wi.us/medicaid9/index.htm
  
  
• American Medical Association — Articles, Sample Forms
  http://www.ama-assn.org
  
  
• HIPAA Advisory — Articles, Checklists, Policy Development, Listserv, Regulatory Searches
  http://www.hipaadvisory.com
  
  
• American Health Information Management Association (AHIMA) — Articles, Policy and Procedure Development, Sample Privacy Office Job Description, Other Sample Forms
  http://www.ahima.org
  
  
• The North Carolina Healthcare Information and Communications Alliance, INC — Sample Forms (HIPAA Consent, Notice of Privacy Practices, Authorizations, Business Associate Agreement)
  http://www.nchica.org/HIPAAResources/Samples/Portal.asp
  
  
• DHHS Office for Civil Rights — HIPAA Enforcement
  http://www.hhs.gov/ocr/hipaa
  
  
• Washington Publishing Company — Download Transaction Implementation Guides
  http://www.wpc-edi.com
  
  
• Workgroup for Electronic Data Interchange — White Papers on HIPAA
  http://wedi.org/snip
  

Federal /Regulatory

• Federal Register (2006)
  http://www.access.gpo.gov/su_docs/fedreg/frcont06.html
  
  
• CMS Home Page
  http://www.cms.hhs.gov/
  
  
• CMS' Information on MMA
  http://www.cms.hhs.gov/MMAUpdate
  
  
• CMS Transmittals
  http://www.cms.hhs.gov/Transmittals/01_overview.asp
  
  
• Medicare Coverage Homepage — National Coverage Determinations, Lab NCDs & National Policy Database
  http://www.cms.hhs.gov/CoverageGenInfo/01_overview.asp
  
  
• Open Door Initiatives
  http://www.cms.hhs.gov/OpenDoorForums
  
  
• Other CMS Sites
  
• Medicare Learning Network — educational information!
  http://www.cms.hhs.gov/MLNGenInfo
  
  
• CMS List Servs — Sign up for mailing lists on various subjects and be the first to receive breaking news from CMS!
  http://www.cms.hhs.gov/apps/mailinglists
  
  
• HCPCS Code Files
  http://www.cms.hhs.gov/HCPCSReleaseCodeSets/ANHCPCS/list.asp#TopOfPage
  
  
• NPI (National Provider Identifier)
  http://www.cms.hhs.gov/NationalProvIdentStand/01_Overview.asp#TopOfPage
  
  
• Provider Enrollment Overview & Forms
  http://www.cms.hhs.gov/MedicareProviderSupEnroll/01_overview.asp
  
  
• National Correct Coding Initiative Edits & Physicians
  http://www.cms.hhs.gov/NationalCorrectCodInitEd/NCCIEP/list.asp
  
  
• CMS Resources for Physicians
  http://www.cms.hhs.gov/physicians
  
  
• Medlearn Matters Articles
  http://www.cms.hhs.gov/MLNMattersArticles
  
  
• Medicare Links to SNF CB
  http://www.cms.hhs.gov/center/snf.asp
  
  
• CMS Internet Manual
  http://www.cms.hhs.gov/Manuals
  
  
• CMS Web Based Training
  http://cms.meridianksi.com/kc/main/kc_frame.asp?kc_ident=kc0001&loc=1
  
  
• CMS-1500 Instructions & Place of Service Codes
  http://www.cms.hhs.gov/ElectronicBillingEDITrans/
  http://www.cms.hhs.gov/PlaceofServiceCodes/
  
  
• Medicare Physician Fee Schedule Database (MPFSDB) Note: The MPFSDB is also called National Physician Fee Schedule Relative Value File
  http://www.cms.hhs.gov/PhysicianFeeSched/PFSRVF/list.asp#TopOfPage
  
  
• ICD-9 CM Code Files (Current List)
  http://www.cms.hhs.gov/ICD9ProivderDiagnosticCodes/01_overview.asp
  
  
• ICD-10-PCS Coding System and Training Manual
  http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/08_ICD10.asp#TopOfPage
  
  
• E&M Documentation 1995 and 1997 Guidelines
  http://www.cms.hhs.gov/MLNEdWebGuide/25_EMDOC.asp
  
  
• UPIN Directory
  http://www.upinregistry.com
  
  
• Medicare Part D Information for Physicians
  http://www.cms.hhs.gov/MLNProducts/23_DrugCoverage.asp
  
  
• Medicare Part D Formulary Information
  PrescriptionDrugCovGenIn/04_Formulary.asp#TopOfPage
  
  
• Acronyms Commonly Associated with CMS
  http://www.cms.hhs.gov/acronyms/
  
  
• Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs) Information
  http://www.cms.hhs.gov/HPSAPSAPhysicianBonuses/01_overview.asp
  
  
• Physician Regulatory Issues Team (PRIT)
  http://www.cms.hhs.gov/PRIT
  
  

Part B Medicare Carrier for Wisconsin, Minnesota, Michigan, Illinois

• WPS — "Contact Us", to ask questions of Provider Outreach
  http://corp-ws.wpsic.com/apps/commercial/unauth/DisBeneMedContactAction.do
  
  
• WPS Medical Policies
  http://wpsmedicare.com/policies/pol_home.shtml
  
  
• WPS Medicare List Serv
  http://corp-ws.wpsic.com/apps/commercial/unauth/medicareListservUserWelcomeLoadAction.do
  
  
• Communiqué (2000 to present)
  http://wpsic.com/medicare/provider/pub_home.shtml
  
  
• Provider Questions & Answers (FAQ's and Complex Inquiries)
  http://www.wpsic.com
  
  

Part D Medicare Drug Benefit:

• CWAG (Coalition of Wisconsin Aging Groups) Wisconsin specific information on Part D
  http://www.wismedrx.org
  
  
• Medicare Part D Disability Drug Benefit Helpline Information
  http://www.w-c-a.org/pages/partd.html
  

Part A Medicare FI for Wisconsin – Hospital, Outpatient Rehab Services, SNF

• United Government Services
  http://www.ugsmedicare.com//

Part A Medicare FI for Home Health & Hospice – Wisconsin, Minnesota, & Michigan

• United Government Services
  http://www.ugsmedicare.com//

Durable Medical Equipment Regional Carrier for WI, MN, MI, IL

• AdminaStar Federal
  http://www.adminastar.com/Providers/DMERC/DMERC.html

Military Health Systems

• TRICARE
  http://www.tricare.osd.mil/
  
  
• Department of Veteran's Affairs - Health Benefits
  http://www1.va.gov/health_benefits/